Swedish Body Project for Prevention of Eating Disorders

NCT02567890 | Completed

• 1 other identifier: P14-0838:1
• Study Type: interventional
• Target: 443
• Locations: 1 country
• Sites: 1

Brief Summary

Women in general and young girls in particular are constantly exposed to unhealthy body and appearance ideals through media that contribute to body dissatisfaction and unhealthy behaviors such as rigid dieting, which in interaction with genes and other factors increase the risk of developing eating disorders such as anorexia nervosa and bulimia nervosa. The investigators aim is to investigate the extent to which an interactive prevention program, delivered through Internet, called the Swedish Body Project (sBody Project) can decrease the emergence of eating disorders among young females. The sBody Project is based on a "Dissonance-Based Intervention: (DBI)" that has shown very promising results. The adaptations and changes in the format of delivery accomplished in this study might help to disseminate the program on a broad basis, and consequently affect the health of young females on a much larger scale the ever before.

Conditions

Eating Disorders

Outcome Measures

Primary Outcomes (1)

• Change in the occurrence of Eating disorder diagnosis

  Diagnostic interview to establish the diagnoses of eating disorders

  6 12, 18 and 24 months after the completed intervention that lasts 4 weeks

Secondary Outcomes (8)

• Composite EDE score

  Pre-assessment, and 6, 12, and 24 months post intervention

• Self-reported ED symptoms based on the Eating Disorder Diagnostic Scale

  Pre-assessment, and 6, 12, 18, and 24 months post intervention

• Positive and Negative Affect

  Pre-assessment, and 6, 12, 18, and 24 months post intervention

• Restraint

  Pre-assessment, and 6, 12, 18, and 24 months post intervention

• Functional impairment due to eating disorder problems

  Pre-assessment, and 6, 12, 18, and 24 months post intervention

Study Arms (3)

Internet-based DBI

EXPERIMENTAL

Internet-based DBI, which consists of four interactive occasions, some homework assignments, and monitoring

Behavioral: Internet-based DBI

Expressive writing

PLACEBO COMPARATOR

Expressive Writing (placebo/attention control) where participants write texts. This is the active control condition.

Behavioral: Expressive writing

Waiting list

NO INTERVENTION

A wait-list control condition.Those in the wait-list condition will not receive any treatment until they have done the 6-month follow-up assessment.

Interventions

Internet-based DBI BEHAVIORAL

Participants will go through a four week interactive program that will improve body acceptance. Includes some homework assignments and monitoring.

Also known as: sBody Project

Internet-based DBI

Expressive writing BEHAVIORAL

Participants will be asked to reflect upon issues related to body image.

Expressive writing

Eligibility Criteria

• Age: 15 Years - 20 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Must have self-reported body dissatisfaction that is an established risk factor for the development of eating disorders.

You may not qualify if:

• Those who meet the diagnostic criteria for any eating disorder diagnosis, body dysmorphic disorder, or other serious conditions (e.g., bipolar disorders, schizophrenia) that require psychiatric care will be excluded.

Sponsors & Collaborators

• Karolinska Institutet: lead
• Linkoeping University: collaborator
• Oregon Research Institute: collaborator

Study Sites (1)

Karolinska Institutet

Solna, 17177, Sweden

Location

Related Publications (12)

• Stice E, Shaw H. Eating disorder prevention programs: a meta-analytic review. Psychol Bull. 2004 Mar;130(2):206-27. doi: 10.1037/0033-2909.130.2.206.

  PMID: 14979770 BACKGROUND

• Stice E, Rohde P, Durant S, Shaw H. A preliminary trial of a prototype Internet dissonance-based eating disorder prevention program for young women with body image concerns. J Consult Clin Psychol. 2012 Oct;80(5):907-16. doi: 10.1037/a0028016. Epub 2012 Apr 16.

  PMID: 22506791 BACKGROUND

• Stice E, Schupak-Neuberg E, Shaw HE, Stein RI. Relation of media exposure to eating disorder symptomatology: an examination of mediating mechanisms. J Abnorm Psychol. 1994 Nov;103(4):836-40. doi: 10.1037//0021-843x.103.4.836.

  PMID: 7822589 BACKGROUND

• Stice E, Shaw H, Becker CB, Rohde P. Dissonance-based Interventions for the prevention of eating disorders: using persuasion principles to promote health. Prev Sci. 2008 Jun;9(2):114-28. doi: 10.1007/s11121-008-0093-x. Epub 2008 May 28.

  PMID: 18506621 BACKGROUND

• Stice E, Shaw H, Marti CN. A meta-analytic review of eating disorder prevention programs: encouraging findings. Annu Rev Clin Psychol. 2007;3:207-31. doi: 10.1146/annurev.clinpsy.3.022806.091447.

  PMID: 17716054 BACKGROUND

• Stice E, Trost A, Chase A. Healthy weight control and dissonance-based eating disorder prevention programs: results from a controlled trial. Int J Eat Disord. 2003 Jan;33(1):10-21. doi: 10.1002/eat.10109.

  PMID: 12474195 BACKGROUND

• White JH. Women and eating disorders, Part I: Significance and sociocultural risk factors. Health Care Women Int. 1992 Oct-Dec;13(4):351-62. doi: 10.1080/07399339209516013.

  PMID: 1478897 BACKGROUND

• Welch E, Miller JL, Ghaderi A, Vaillancourt T. Does perfectionism mediate or moderate the relation between body dissatisfaction and disordered eating attitudes and behaviors? Eat Behav. 2009 Aug;10(3):168-75. doi: 10.1016/j.eatbeh.2009.05.002. Epub 2009 May 21.

  PMID: 19665100 BACKGROUND

• Welch E, Lagerstrom M, Ghaderi A. Body shape questionnaire: psychometric properties of the short version (BSQ-8C) and norms from the general Swedish population. Body Image. 2012 Sep;9(4):547-50. doi: 10.1016/j.bodyim.2012.04.009. Epub 2012 Jun 19.

  PMID: 22721875 BACKGROUND

• Welch E, Birgegard A, Parling T, Ghaderi A. Eating disorder examination questionnaire and clinical impairment assessment questionnaire: general population and clinical norms for young adult women in Sweden. Behav Res Ther. 2011 Feb;49(2):85-91. doi: 10.1016/j.brat.2010.10.010. Epub 2010 Nov 2.

  PMID: 21185552 BACKGROUND

• Treasure J, Macare C, Mentxaka IO, Harrison A. The use of a vodcast to support eating and reduce anxiety in people with eating disorder: A case series. Eur Eat Disord Rev. 2010 Nov-Dec;18(6):515-21. doi: 10.1002/erv.1034.

  PMID: 20669153 BACKGROUND

• Ghaderi A, Stice E, Andersson G, Eno Persson J, Allzen E. A randomized controlled trial of the effectiveness of virtually delivered Body Project (vBP) groups to prevent eating disorders. J Consult Clin Psychol. 2020 Jul;88(7):643-656. doi: 10.1037/ccp0000506.

  PMID: 32551736 DERIVED

MeSH Terms

Conditions

Feeding and Eating Disorders

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• Ata Ghaderi, PhD

  Karolinska Institutet

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 30, 2015
• First Posted: October 5, 2015
• Study Start: September 1, 2015
• Primary Completion: June 28, 2019
• Study Completion: June 28, 2019
• Last Updated: August 5, 2019

Record last verified: 2019-08

Locations

SE (1)